Teamwork in Healthcare
Summary
TLDRThis video explores the impact of teamwork in healthcare, particularly in stroke units across Canada. It features a dance class for stroke survivors and their carers, emphasizing the benefits of a collaborative approach among doctors, nurses, and other professionals. The video discusses the evidence for teamwork's positive effects on patient outcomes and safety, despite debates on the quality of such evidence. It also highlights the challenges of implementing teamwork, such as professional territoriality, and the need for rigorous evaluation to ensure effective and efficient healthcare delivery.
Takeaways
- 💃 Stroke survivors and their caregivers benefit from activities like dance classes, enhancing their quality of life.
- 🤔 The effectiveness of a teamwork approach in healthcare is being promoted in Canada, despite limited evidence of its impact on morbidity and mortality.
- 🏥 Canadian governments are investing heavily in promoting teamwork in healthcare, hoping it will benefit both patients and professionals.
- 🔄 The transformation from individual siloed professionals to integrated teams is seen as a positive change in healthcare delivery.
- 👥 Stroke care exemplifies the need for a multidisciplinary team approach, as no single professional can meet all patient needs alone.
- 🚸 Effective teams are characterized by clear purpose, good communication, conflict resolution mechanisms, and a patient-centered focus.
- 📈 A report suggests that coordinated and collaborative health professionals can improve patient care, safety, and reduce staff burnout.
- 👩⚕️ The interprofessional care model is being taught to students as a way to improve patient-centered care.
- 🗣️ There is a call for better communication and collaboration among different healthcare professionals to enhance patient recovery.
- 🧐 Critics argue that there is insufficient evidence to support the push for teamwork in healthcare and advocate for more rigorous evaluation.
- 🌟 Despite skepticism, there is optimism that teamwork can improve healthcare, and efforts are being made to integrate it into professional training.
Q & A
What is the primary benefit observed for stroke survivors and their carers from attending the Friday morning dance class?
-The primary benefit is that it greatly enhances their quality of life and independence, as it helps them to dress and walk independently.
What is the debate surrounding the teamwork approach in stroke units across Canada?
-The debate is whether the teamwork approach can improve patient outcomes in terms of morbidity and mortality, despite the lack of strong evidence supporting its effectiveness.
How does the Canadian government's investment in teamwork in healthcare align with the available evidence?
-The Canadian government is investing tens of millions of dollars in promoting teamwork in healthcare with the hope of benefiting patients and professionals, despite the limited evidence of its effectiveness.
What is the significance of the Toronto Rehabilitation Institute's approach to stroke treatment?
-The institute has developed a national reputation for working as an effective team, emphasizing that no single professional can meet the needs of a stroke patient alone.
What are the key characteristics of an effective team according to the Canadian Health Services Research Foundation's report?
-An effective team has a clear purpose, good communication, mechanisms for conflict resolution, and places the patient at its central focus.
What is the role of interprofessional care in the context of the stroke team?
-Interprofessional care, more formally known as teamwork, is a key approach being taught and modeled within the stroke team to improve patient-centered care.
What is the main challenge faced by Carol Lauren in her recovery from a stroke?
-Carol faced a lack of teamwork and communication among different parts of the healthcare system, which she believes hindered her recovery.
What is the primary goal of the national push to bring teamwork into the healthcare system?
-The primary goal is to improve patient care, enhance patient safety, and reduce staff burnout by promoting coordination and collaboration among health professionals.
What is the skepticism regarding the promotion of teamwork in healthcare based on?
-The skepticism is based on the lack of research demonstrating improved outcomes for patients and staff as a result of improved teamwork.
What is the main argument of Dr. Merrick's team against the hasty implementation of teamwork in healthcare?
-Dr. Merrick's team argues that there should be more evaluation and rigorous testing of different approaches to teamwork to ensure that investments are not wasted on ineffective methods.
What is the potential impact of teaching interprofessional teamwork to future healthcare practitioners?
-Teaching interprofessional teamwork can prepare future healthcare practitioners to practice in a patient-centered manner, fostering better collaboration and potentially improving patient outcomes.
Outlines
💃 The Power of Teamwork in Stroke Recovery
This paragraph discusses the benefits of a Friday morning dance class for stroke survivors and their caregivers, emphasizing the positive impact of teamwork in a stroke unit across Canada. Despite the lack of strong evidence for teamwork's effectiveness, the Canadian government is investing in it with the hope of improving patient outcomes. The Toronto Rehabilitation Institute's team, comprising doctors, nurses, and physiotherapists, is highlighted as an example of effective teamwork in stroke care. The importance of a team having a clear purpose, good communication, and conflict resolution mechanisms is underscored. The patient-centered approach is also highlighted as crucial. The narrative includes a personal story of a stroke survivor, Helga Giannini, who has made a remarkable recovery. The report by Ivo Anderson suggests that coordinated health professionals can improve patient care, safety, and reduce staff burnout. The paragraph concludes with a special event where first-year health science students are encouraged to reflect on how teamwork can enhance patient care.
🤔 Skepticism and the Need for Evidence in Teamwork
The second paragraph presents a contrasting view from a patient, Carol, who feels that the lack of teamwork hindered her recovery from a stroke. She emphasizes the need for better communication among various health professionals across different sectors. The paragraph also discusses the push for teamwork in Canadian healthcare, driven by politicians and policymakers who see it as a way to increase patient safety and satisfaction. However, the evidence for teamwork's effectiveness is questioned, with critics arguing that there is no research showing improved outcomes for patients or staff as a result of teamwork interventions. A skeptic, Dr. Merrick, calls for more rigorous evaluation and is conducting a randomized controlled trial to test a new communication approach among hospital professionals. The paragraph highlights the complexity of teamwork and the difficulty in conducting simple randomized control trials due to the many factors involved.
👥 Overcoming Skepticism and Embracing Teamwork
The final paragraph focuses on the challenges of implementing the teamwork approach in healthcare, such as professional territoriality. However, it suggests that change may be on the horizon, as evidenced by the positive reaction of a group of students to a teamwork event. The paragraph describes how students from different health science disciplines are encouraged to interact and understand the larger healthcare context in which they will work. The importance of teaching interprofessional, patient-centered care to future healthcare practitioners is emphasized. The narrative returns to the stroke team's dance class, where even Carol, the skeptic patient from the previous paragraph, visits and expresses a desire to dance again, hinting at the potential for teamwork to positively influence patient recovery and satisfaction.
Mindmap
Keywords
💡Teamwork
💡Stroke
💡Morbidity
💡Mortality
💡Healthcare Professionals
💡Patient-Centered Care
💡Interprofessional Care
💡Evidence-Based Medicine
💡Burnout
💡Siloed Professionals
💡Randomized Controlled Trial
Highlights
Stroke survivors and their carers benefit greatly from Friday morning dance classes.
Teamwork approach is being championed in stroke units across Canada.
Evidence suggests teamwork can improve patient outcomes in terms of morbidity and mortality.
Canadian governments are investing in teamwork in healthcare despite limited evidence.
Transformative potential of moving from siloed professionals to integrated teams in healthcare delivery.
Stroke requires the involvement of many different healthcare professionals.
Teamwork is essential for meeting the needs of stroke patients.
Patient-centered care is a key component of effective teams.
Teamwork can improve patient care, safety, and reduce staff burnout.
Interprofessional care is being promoted as a formal approach to healthcare.
Healthcare professionals need to communicate more effectively for better patient recovery.
The healthcare system does not sufficiently support communication among different health professionals.
Politicians are convinced of the benefits of teamwork in healthcare.
Teamwork is believed to increase patient safety and satisfaction.
There is a need for more rigorous evaluation of teamwork interventions.
The complexity of teamwork makes it difficult to conduct simple randomized control trials.
Critics argue that different sorts of teamwork must be tested to ensure effective use of resources.
Students are embracing the idea of interprofessional teamwork in healthcare.
Teaching interprofessional patient-centered care is essential for future healthcare practitioners.
The stroke team's dance class is an example of teamwork in action.
Transcripts
[Music]
it seems clear that these stroke
survivors and their carers benefit
greatly from their Friday morning dance
class what's less clear is whether the
teamwork approach being championed in
this stroke unit and now right across
Canada is also beneficial there is
mounting evidence that teamwork can
improve patient outcomes in terms of
morbidity and mortality at the moment
there's very little evidence for the
effects of teamwork if teamwork was a
drug that would not be licensed in any
country despite debate about the quality
of evidence Canadian governments are now
spending tens of millions of dollars
promoting teamwork in health care with
the hope that patients and professionals
will be the winners I think this is
fundamentally transformative I think
when you can truly move from a series of
siloed professionals working in parallel
towards a common or an uncommon goal to
an integrated functional team you will
change the nature of health care
delivery in a very positive way able to
dress ourselves independently these
doctors nurses physiotherapists and
others based out of the Toronto
Rehabilitation Institute have developed
a national reputation for working as an
effective team stroke is a condition
that really requires many different
people to be involved it's absolutely
clear to all of us that no one of us
could meet the needs of the patient
alone so it requires our engagement
together and otherwise she's back to
being independent walking outdoors and
indoors it's completely normalized
according to a recent report
commissioned by the Canadian Health
Services Research Foundation an
effective team has a clear purpose good
communication and mechanisms for
conflict resolution a good team also has
the patient as its central focus today
that's Helga Giannini who's made a
remarkable recovery from a stroke just a
few short weeks ago
I really like to walk because I always
walk I don't have a God for one thing
yes she will go within a few weeks to
her family dr. Cynthia Whitehead has
been part of this team for more than
seven years there is a sense of trust
that has really developed amongst people
and we just expected people that people
will be engaged will be involved will be
a part of of the group effort I think
there's a real dedication to the
patients as well you know and focusing
on the patient really helps helps people
realize our commonality and focus our
different perspectives summarizing the
relevant research the report suggests
that when health professionals
coordinate and collaborate they can
improve patient care enhance patient
safety and reduce staff burnout first
author of the report Ivo Anderson is
helping lead a national push to bring
teamwork into the health care system an
approach known more formally as
interprofessional care the stroke team
that you witnessed today is one of the
places where we actually send our
students to actually learn about
interprofessional care and it is a role
model from which we can we can actually
have our students understand and see how
teamwork can impact positively on
patient-centered care
we want to help you to reflect upon when
to collaborate more than a thousand
first-year students studying medicine
occupational therapy and other health
sciences have come to this special event
to learn how 10 work can improve patient
care we want you to reflect upon how to
collaborate one of the special guests
today is ivy sister-in-law Carol Lauren
two years ago Carol had a stroke and her
life changed so we'll help me welcome
Carol Lauren good afternoon it is a
privilege to be here today
while carol is grateful for much of the
good care she received in Winnipeg she
feels that a lack of teamwork did not
help her recovery from stroke different
parts of the system need to talk to one
another more the hospital system and the
primary care doctors the inpatient
programs and the outpatient programs the
physiotherapist and the occupational
therapists the doctors the chiropractors
acupuncturists and social workers if I
was a patient that had a chronic illness
that had a whole host of health
professionals from different contexts
some in the hospital some in the
community sector some in a rehab sector
I would expect that those health
professionals regardless of location
would actually be talking to each other
our system health care system does not
actually support that component of
communication amongst Health Professions
regardless of context
[Music]
the Porsche in Canada to get health
professionals playing as part of a team
has taken off here because politicians
have been convinced there's strong
evidence to support their use we know
that they increased patient safety
increases patient satisfaction and if
you do it right
it increases provider satisfaction which
leads to better recruitment and better
retention and all all parts of those are
critical for the health care system a
practicing physician and assistant
deputy minister Joshua tempeh is one of
a growing number of teamwork converts
more and more policymakers are trying to
turn them towards evidence for any
decision they make and as the evidence
became clear and not just anecdotal it
really provided a strong impetus for
policymakers to feel comfortable making
the investment putting the energy into
creating interprofessional or team-based
care models in the healthcare system and
a variety of settings but how strong is
the evidence the teamwork can make team
members happier and patients safer
there's enough mounting evidence that we
should be moving in this direction
cautiously rigorously evaluating every
intervention that we're doing while
upbeat about the benefits of teamwork
the report authors acknowledge
significant weaknesses in the literature
because there are so many different
theories and methods used to study
teamwork but for others those weaknesses
are even more significant
there is no research to date which
demonstrates that once you've done
something to improve the teamwork the
outcomes improve not for the patients
and not for the stuff there are no such
studies a skeptic steeped in the ways of
evidence-based medicine
Merrick's warrants team believes Canada
is being too hasty pushing teamwork and
he wants to see much more evaluation
with colleagues he's running a
randomized controlled trial of a new
approach to communication within
hospitals the plan is to get
professionals talking to each other in a
more thoughtful way when they meet
informally in hospital corridors and
nurses stations the aim ultimately is
better understanding of what others do
and what the patient needs we've done a
systematic review of this and the only
studies that we could find about
improving interprofessional
collaboration are not good randomised
trials and don't explicitly focus on
trying to improve teamwork they're in
the area of things like stroke care and
some other kinds of care organization
the complexity of teamwork is immense
therefore to do a simple randomized
control trial is almost impossible
because of all the many factors that
come into place related to teamwork
[Music]
the studio crew at CBC's national a-one
sort of team all based in the same room
but in health care often members may
never even meet for critics different
sorts of team work must be rigorously
tested in order to make sure money is
not being wasted on the wrong approach
I think we're naturally optimistic as a
species if we weren't we would have
given up long ago and in settings as
complex as health care I think the
people who work in them want to believe
that there are simple solutions there
are but many of the simple solutions are
going to be wrong and the trick is to
find the solutions that are correct I
don't believe we're being hasty in this
case I think the evidence is there and I
think there's a pressing need to move in
this direction
at the big teamwork event things are
moving towards a conclusion as you
embark on your training I hope you will
continually ask yourself what is right
for the patient thank you for the
opportunity to speak with you this
afternoon and to share my story
[Applause]
one of the biggest challenges to the
teamwork approach is the ongoing turf
war between professionals trying to
protect their patch but if the reaction
of this group of students is any guide
change may be on the way social work in
the pharmacy all have to do in the
health care at first when we came here
like we can't sit with our friends but
then that wouldn't have served the
purpose I'm trying to get to know others
so I thought that that was a good
opportunity to meet people that you
wouldn't meet in class because we are
segregated so you know I see the same
people every day every class and so you
get so you know ingrained in your own
feel that you don't really understand
that you're working at a larger context
you are working in a larger healthcare
setting so I think for me really helped
break that isolation and allowed this
sort of icebreaker as to when you go out
into the actual profession and you are
gonna be working at you you know you can
interact with the other healthcare
professionals and it's not I can talk to
other people that aren't nurses like the
first year students at the University of
Toronto are across the health science
and Social Work faculties are the future
they're the future healthcare
practitioners for us here in Canada if
we expect them to practice in a
different way if we expect them to
practice in a interprofessional
patient-centered manner we actually have
to teach this
[Music]
back at the stroke teams dance class
everyone's moving now
and even carol has dropped in on her way
to the airport and home to Winnipeg I
try to dance and I'm very uncomfortable
and awkward and I don't want to do it
but I would love to get out there and
dance again in fact I'm thinking of
going back to Winnipeg and requesting
that someone somewhere out there provide
that kind of service
[Music]
[Music]
you
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